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South Dakota rates for HCPCS 64872

Suture Nerve Req Secondary/Delayed Suture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.50 / $108.50 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.88 / $108.50 / $175.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.52 / $249.31 / $311.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.99 / $191.67 / $310.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.18 / $237.70 / $2,987.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.79 / $264.64 / $953.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.79 / $250.49 / $307.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.19 / $195.75 / $223.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.18 / $203.80 / $317.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.40 / $270.89 / $270.89